Atrial septal defect (ASD), trans-catheter closure – case report

Authors

  • Haris Porobić UIMR u FBIH
  • Darko Tomić Croatian Clinic, "Dr. Fra Mato Nikolić" Nova Bila, Bosnia and Herzegovina
  • Sabina Prevljak Radiology Clinic, Clinical Centre of Sarajevo University, Bosnia and Hercegovina
  • Ana Trogrlić Health Center Kiseljak, Bosnia and Herzegovina

DOI:

https://doi.org/10.48026/issn.26373297.2024.1.15.6

Keywords:

ASD, ocluder, atrialsseptaldefect, invasivcardiology, TEE

Abstract

Atrial septal defect (ASD) is one of the most common types of congenital heart defects, occurring in about 25% of children. An atrial septal defect occurs when there is a failure to close the communication between the right and left atria. It encompasses defects involving both the true septal membrane and other defects that allow for communication between both atria. There are five types of atrial septal defects ranging from most frequent to least: patent foramen ovale, ostium secundum defect, ostium primum defect, sinus venosus defect, and coronary sinus defect. Small atrial septal defects usually spontaneously close in childhood. Large defects that do not close spontaneously may require percutaneous or surgical intervention to prevent further complications such as stroke, dysrhythmias, and pulmonary hypertension. This activity describes the evaluation, diagnosis, and management of atrial septal defect and highlights the role of team-based interprofessional care for affected patients. Atrial septal defects are frequently asymptomatic. The characteristic murmur is a soft, systolic ejection murmur over the pulmonic area (second intercostal space) combined with a wide, fixed splitting of S2. Many ASDs go undiagnosed until adulthood; therefore, treatment, especially of large defects, is often delayed. Untreated large defects can cause exercise intolerance, cardiac dysrhythmias, palpitations, increased incidence of pneumonia, pulmonary hypertension and increased mortality.

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Published

2024-11-13

How to Cite

1.
Porobić H, Tomić D, Prevljak S, Trogrlić A. Atrial septal defect (ASD), trans-catheter closure – case report. isnn.26373297. [Internet]. 2024Nov.13 [cited 2024Dec.14];15(1). Available from: https://www.uimr.ba/journal/index.php/rt/article/view/63